Integrative Lifestyle Course Empowering Healthy Choices and Internal Locus of Control in Eating

Abstract Background: Lifestyle interventions through mindfulness, nutrition, movement, and social interactions have been shown to be successful in the treatment and remission of chronic diseases. We assessed the effectiveness of the free 8-week “Finding Wellness” program through self-perceived efficacy, control, and wellness to understand the internalization of health concepts taught.

Abstract Methods: All participants who enrolled in the “Finding Wellness” program from June 2017 to December 2020 and completed a pre- or post-survey were included. Survey questions included topics on overall health, eating patterns, control of eating, and self-efficacy with Likert scale options for participants to express the difficulty or likelihood of that concept applying to their life. Participants were also asked about frequency of exercise, diet, nutrition, and lifestyle habits. Analysis comparing pre and post results was performed using SAS 9.4.

Abstract Results: Of the 375 individuals who enrolled in the program during the study period 369 completed a pre-survey and 174 completed a post-survey. Most participants were white (96.2%) and female (60.8%). Percentage reporting overall health status as good or very good increased from 61% to 74% (p < 0.001) following course completion. The overeating scale decreased from 4.1 to 1.5 (p < 0.001). There was no significant difference in self-efficacy scale. Additionally, those participating in at least some exercise including moderate/vigorous activity, strength training, and stretching changed from 78% to 87% (p=0.02), 56% to 67% (p=0.39), and 38% to 69% (p < 0.01) respectively. Those reporting confidence in eating smaller portions increased from 97% to 100%. Those reporting confidence in ability to make time for exercise increased from 98% to 100%.

Abstract Conclusion: The “Finding Wellness” program has been efficacious in teaching skills to combat overeating and improve overall health through mindfulness, nutritional, and goal setting education and exercises. The program empowers increases in physical activity. Limitations include only 3 month follow up and low number completing post survey.

Funding: Departmental

Conflict of Interest: N/A